Individual
DEBORA LUNDGREN-WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3630 ENTERPRISE ST, SAN DIEGO, CA 92110-3212
(619) 299-0840
Mailing address
5750 58TH PL, SAN DIEGO, CA 92115-6117
(808) 542-6965
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236131
CA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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